EMPLOYMENT

CALL US: (571)276-2936 | (571)594-3081

empLOYMENT
OPPORTUNITIES

Certified Electrical Contractor, Specializing in
Commercial and Residential projects

employment application

APPLY NOW

Date of Birth

Drivers License#

APPLICANT INFORMATION

Last Name

First

M.I.

Date

Street Address

Apartament/Unit#

City

State

ZIP

Phone #

Email Address

Date Available

Social Security No.

Desired Salary

Postion Applied for

Are you a U.S Citizen?

Yes

If no, are you authorized to work in the U.S.?

Yes

Have you ever worked for this company?

Yes

if so, when?

Have you ever been convicted of a felony?

Yes

if yes, explain

EDUCATION

High School

Address

High School From Date: To Date

Did you graduate?

Yes

Degree

College

Address

College From Date: To Date:

Did you graduate?

Yes

Degree

Responsibilities

From Date: To Date:

Reason For Leaving

May we contact your previous supervisor for a reference?

Yes

Company

Phone #

Address

Supervisor

Job Title

Starting Salary $

Ending Salary $

Responsibilities

From Date: To Date:

Reason for Leaving

May we contact your previous supervisor for a reference?

Yes

REFERENCES
Please list three professional references.

Full name

Relationship

Company

Phone#

Address

PREVIOUS EMPLOYMENT

Company

Phone #

Address

Supervisor

Job Title

Starting Salary$

Ending Salary $

Responsibilities

From Date: To Date:

Reason for Leaving

May we Contact your previous supervisor for a reference?

Yes

Company

Phone #

Address

Supervisor

Job Title

Starting Salary $

Ending Salary $

Responsibilities

From Date: To Date:

Reason for Leaving

May we contact your previous supervisor for a reference?

Yes

MILITARY SERVICE

Branch

From Date: To Date

Rank at Discharge

Type of Discharge

If other than honorable, explain

DISCLAIMER AND SIGNATURE

if this application leads to employment, I understand that false or misleading information in my application or interview may result in my release. This is a drug free company. You are subject to drug test upon request within a 24 hour notice.

I certify that my answers are true and complete to the best of my knowledge

I Agree

Signature (Type Name for Electronic Application)

Date

SUBMIT

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empLOYMENTOPPORTUNITIES

employment application

empLOYMENT
OPPORTUNITIES